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3861. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - Understanding CAHPS® Surveys Webcast Transcript Understanding CAHPS® Surveys: A Primer for New Users January 2019 Webcast Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality Susan Edgman-Levitan, P.A., Executive …

3862. Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/shenep-report.pdf
      January 01, 2024 - Final Progress Report: Risk Analysis of Pediatric Chemotherapy Processes Risk Analysis of Pediatric Chemotherapy Processes Principal Investigator: Jerry L. Shenep, MD Co-Investigator: Donald K. Baker, PharmD Co-investigator: John Rodman, PharmD Co-investig…

3863. Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
      January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions Verbal Order Policies, Occurrence, and Perceptions Douglas S. Wakefield, PhD Principal Investigator Center for Health Care Quality University of Missouri Bonnie Wakefield, RN, PhD Co-Investigator Associate Research Professor Sinclair…

3864. USER GUIDE: COVID-19 Vaccination Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/user-guide-covid-19-vaccination-tracking-tool-nursing-facilities.pdf
      July 01, 2022 - To view a comprehensive overview summary with associated data points, it is recommended that you enter

3865. Situation Monitoring: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
      July 01, 2023 - change and merit modifications to the care plan Huddle every 15 minutes if the situation is prolonged (recommended

3866. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - This version of the checklist also includes items recommended by the Surgical Care Improvement Program

3867. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
      January 01, 2003 - Studying these factors and their interrelations has been recommended for prevention of medical errors

3868. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - 1.0* HSOPS 2.0* HSOPS 1.0* HSOPS 2.0* Fewer than 1,000 Simultaneous Administration Not Recommended

3869. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - Hospital B discussed participation in the AEH Safety Network, working on the 10 initiatives recommended … As recommended in comparative field study analysis,1 the analysis by the project team has cycled back

3870. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - Appendix C: The Health Care Safety Hotline: Operations Manual Appendix C. Operations Manual The Health Care Safety Hotline: Operations Manual Denise D. Quigley, RAND Corporation Shaela Moen, RAND Corporation Robert Giannini, ECRI Institute Lauren Hunter, RAND Corporation Operations Ma…

3871. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
      September 01, 2017 - determine if medications may contribute to transfer risk and if medication regimen adjustments should be recommended

3872. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - Although the checklist is designed for use across all settings, modification is recommended to ensure

3873. Final Progress Report: Impacts of Alcohol and Fatigue on Paramedic ALS Skills (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
      January 01, 2024 - Affairs, 1986), and the Transportation Research Board (TRB) of the National Research Council (NRC) recommended

3874. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
      January 01, 2024 - that have experienced liability problems due to missed ACI. 17 Table 10: Action Plan Improvements Recommended

3875. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
      January 01, 2023 - For example, clinical recommendations often set new target levels or recommended frequencies for specific … Therefore, we do not recommended comparing any estimates from 2021 with estimates from 2020 or earlier

3876. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
      January 01, 2023 - For example, clinical recommendations often set new target levels or recommended frequencies for specific … Therefore, we do not recommended comparing any estimates from 2021 with estimates from 2020 or earlier

3877. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/match.pdf
      August 01, 2012 - Process of care (core) measures demonstrate how often hospitals adhere to recommended treatments for

3878. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/data.html
      April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Data Evaluation of All-Payer Claims Databases Previous Page Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using…

3879. TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
      June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane Slide 1 TeamSTEPPS® for Diagnosis Improvement The Diagnostic Journey of Mr. Kane Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diag…

3880. Journey of Mr. Kane
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
      June 02, 2025 - Journey of Mr. Kane The Diagnostic Journey of Mr. Kane TeamSTEPPS® for Diagnosis Improvement Narrator: This story is about the diagnostic journey of Mr. Kane. The story outlines several areas where communication failures led to missed and delayed diagnosis that contributed to Mr. Kane’s death. The story is told fro…